Business Insider looked at the number of prescriptions and sales in the US on devices that use epinephrine, another name for the hormone adrenaline, using data from IMS Health. Among those that used an auto-injector were a device called Twinject that was first approved in It's since been updated to become Adrenaclick , and Twinject is no longer available.
Another device, the Auvi-Q, was first approved in , and grabbed a sizeable amount of prescriptions for a few years before it was recalled last October. The company behind Auvi-Q doesn't seem to have a timeline specifying when it will be back in the US, if ever.
Combined, prescriptions of these competing epinephrine devices along with adrenaline and epinephrine that comes in a vial instead of a pre-loaded auto-injector paled in comparison to the number that were written for the EpiPen. Remember that low-strength epinephrine auto-injectors are only for children weighing kg. Before leaving the pharmacy, double check that you have the correct strength of epinephrine auto-injector for your child's weight.
All Rights Reserved. Safe MedicationUse. Report an Error. View all Newsletters Epipen or Epipen Jr? EpiPen Auto-Injectors should only be injected into the anterolateral aspect of the thigh. Epinephrine should be used with caution in patients with certain heart diseases, and in patients who are on drugs that may sensitize the heart to arrhythmias, because it may precipitate or aggravate angina pectoris and produce ventricular arrhythmias.
EpiPen and EpiPen Jr Auto-Injectors are intended for immediate self-administration as emergency supportive therapy only and are not intended as a substitute for immediate medical or hospital care. September 23, Role of the Pharmacist Epinephrine auto-injector devices are used for the emergency treatment of potentially life-threatening anaphylactic reactions, and each has a unique design and operating instructions for use under stressful conditions.
New epinephrine auto injector products have entered the market since January Currently marketed epinephrine auto-injectors include: Twinject 0. Lineage Therapeutics markets epinephrine injection, USP auto injector, in 0. Critically, different epinephrine auto injectors have different operational instructions.
When an auto injector is needed, seconds matter. Accordingly, it is imperative that pharmacists: 1 strictly follow relevant law governing substitution; and 2 train the patient or caregiver thoroughly on the proper use of the particular device prescribed and dispensed.
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